- Run and work daily Group Inbox / Business Office Report in OncoEMR for procedure/drug order values: Required, Pending, Auth Issue (Onsite), P2P, and Denied for current date of service as well as 5 days out. All STAT orders are to be worked immediately upon request by onsite team.
- Ensure that all aspects of approval have been checked including prior authorization, pre-determination, and pre-certification before approving the order as meeting NYH policy.
- Ensure that all appropriate diagnoses are listed in the patient's summary for drug/procedure order.
- Document in OncoEMR the patient's treatment plan and approval status. Must document all steps taken in research/process of the case
- Communicate with MD and NP's if orders need to be changed on treatment plan or to discuss denials and request letter of medical necessity to appeal authorization denials
- Any patient's that do not have a completed approval status by 4pm EST must be reviewed with management to determine if appointment should be rescheduled.
- Work closely with office and third party vendor to ensure authorizations are in place and insurance benefits are accurate.
- Maintain and ensure the confidentiality of all patient and employee information at all times.
- An authorization specialist will be expected to work when given sufficient notice of required overtime.
- Experience in prior authorizations
- High school or GED required.
- Experience in pharmacy / authorization field.
- Experience working in the healthcare field, preferably in a clinical setting or business office.
- Experience in insurance requirements and medical terminology ICD-10 and CPT coding.
- Experience in billing practice management systems, electronic medical record systems, Microsoft Word, and Microsoft Excel.
- Excellent verbal and communication skills between co-workers, physicians, management staff, patients, insurances, outside programs.
- Ability to multitask, problem solve, utilize basic math skills and follow complex instructions.
- Ability to converse in a calm and friendly manner.
- Able to relate and comfort patients during a difficult time.
- 2 Years authorization experience required.
-
Authorizations Specialist
2 days ago
Freedom Care Llc New York, United StatesStarted in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care ...
-
Authorization Specialists
2 weeks ago
Insight Global New York, United StatesInsight Global is looking for an Authorization Specialist to join the #1 orthopedic hospital system in the country. This person will run prior authorizations for Surgical and Radiology procedures by verifying insurance eligibility and benefits, confirming medical necessity, and e ...
-
Authorizations Specialist
3 days ago
FREEDOM CARE , LLC New York, United StatesStarted in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care ...
-
Surgical Authorization Specialist
1 day ago
Medix Manhattan, United StatesHIRING FOR SURGICAL AUTHORIZATION SPECIALIST · Specific Duties:Obtain authorizations for both surgical and radiology procedures · Verify insurances and obtain benefits · Communicate with physician offices regarding the status of authorizations · Collect payments for inpatient and ...
-
Eligibility and Authorization Specialist
2 weeks ago
Randstad North America, Inc. New York, United StatesAre you passionate about making a difference in people's lives? Are you someone who believes that everyone has the right to live their life to the fullest? If so, we have an opportunity for you. We are currently seeking a dedicated individual to join Specialist, Authorization, Te ...
-
Prior Authorization Specialist
2 weeks ago
Medix New York, United StatesWe are hiring for Prior Authorization Specialists to join our team in the Manhattan, NY area. We are seeking candidates who are a team player, organized, and someone who is both reliable and responsible. If you feel you are a good fit for this position based on the listed require ...
-
Authorizations Specialist
2 weeks ago
True Care New York, United StatesJob Description · Job DescriptionSalary: $23 per hour · Company Overview: Empowering Health, Enriching Lives: True Care's Enduring Mission · At True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of ...
-
Eligibility and authorization specialist
2 weeks ago
Randstad New York, United StatesAre you passionate about making a difference in people's lives? Are you someone who believes that everyone has the right to live their life to the fullest? If so, we have an opportunity for you. We are currently seeking a dedicated individual to join our team in the role of Eligi ...
-
Authorizations Specialist
6 days ago
Preferred Homecare of NY Corporate Brooklyn, United StatesPreferred Home Care of New York, a fully licensed Home Care Agency serving the NY Metropolitan area including Nassau, Suffolk and Westchester counties, is seeking an experienced, Authorization Specialist for our Brooklyn Corporate Office who is a strong communicator, pays extreme ...
-
Surgical Authorization Specialist
1 day ago
Medix New York, United StatesEmbark on an Exciting Journey as an Insurance Coordinator · Introduction: Are you ready to elevate your career in the healthcare industry? Look no further We're seeking a dedicated Insurance Coordinator to join our esteemed team at the forefront of orthopedic excellence. As the # ...
-
Pre-Authorization Intake Specialist
2 weeks ago
MJHS New York, United StatesReq #: · 1937 · Job ID: · 13499 · Job Location: · New York, NY · Zip Code: · 10040 · Category: · Office and Administrative Support · Agency: · Elderplan · Status: · Regular Full-Time · Office: · Office · Salary: · $51, $105,000.00 per year · The challenges of affordable ...
-
Pre-Authorization Intake Specialist
3 weeks ago
Metropolitan Jewish Health System New York, United StatesThe challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-qualit ...
-
Authorization Specialist
2 weeks ago
Summit Health Clifton, United States Full timeDescription · Position Summary: · The Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorizat ...
-
Pre-authorization Specialist
6 days ago
Manhattan Specialty Care New York, United States**Manhattan Gastroenterology is looking for a Pre-Auth Specialist to join our billing team. We are looking for someone who is dependable, likes taking on challenges, and meets deadlines. This position is working out of our Chelsea office.**: · **Responsibilities include**: · - re ...
-
Authorizations Specialist
2 weeks ago
True Care Brooklyn, United States**Company Overview**:Empowering Health, Enriching Lives: True Care's Enduring Mission · At True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to ...
-
Insurance Authority Sales/Training Specialist
2 weeks ago
LexisNexis New York, United StatesJob Description · Job DescriptionWe are looking for an Insurance Law Specialist to help spread the word on the soon to launch Law360 Insurance Authority product. Law360 Insurance Authority combines the speed and quality of Law360 with the experience of best-in-class insurance rep ...
-
Authorization Specialist Ii
1 week ago
Fidelis Care New York, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
-
Authorization Specialist
1 week ago
Summit Health Inc Clifton, United StatesThe Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorization Spe Authorization, Specialist, Or ...
-
Authorization Specialist
1 week ago
Summit Health Inc Clifton, United StatesThe Authorization Specialist is responsible for obtaining authorizations for surgical procedures, diagnostic testing, medications, DME, outgoing referrals, and other services as part of the daily operations of the Office Supervisor. Authorization Spe Authorization, Specialist, Or ...
-
Authorization Specialist
2 weeks ago
Health Alliance Valhalla, United StatesCompany: NorthEast Provider Solutions Inc.Department: Clinical Care Mgmt-WMC HealthUnion: NoPosition: Full TimeHours: M-F 9-5pShift: DayPosted Date: Feb 27, 2024Hiring Range: $ $27.98Apply NowJob Summary:The Authorization Specialist is responsible for performing complex clerical ...
Authorization Specialist - New York, United States - New York Cancer & Blood Specialists
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Job Description
Job DescriptionAuthorization Specialist
Ridge, NY
At New York Cancer & Blood Specialists (NYCBS), we foster an environment where passionate professionals thrive. Our 200+ oncologists, hematologists, and staff across 25 locations are united by a mission: redefining what's possible against cancer and blood disorders. With cutting-edge treatments, groundbreaking research, and a patient-first philosophy, we're innovators reshaping modern medicine. Join our rapidly growing organization serving over 50,000 patients annually and unlock new frontiers in healing and hope.
This position is responsible for verifying benefits of patient's insurance for review of drug and procedure orders for patients within our Interventional Pain & Spine group. Obtain the appropriate authorization for services. They will be responsible for reviewing all orders to ensure treatment plan follows proper insurance guidelines as well as NYCBS/NYH policy. In addition they will be responsible for basic knowledge of billing and scheduling processes. The daily tasks and responsibilities of an Authorization Specialist are listed below.
In this role you will:
We require:
Salary up to $28 per hour.
Benefits including Tuition Reimbursement, Health Insurance on day 1 of employment, Dental, Vision, Life Insurance, and more.
Check our website at: and follow us on Facebook.
NYCBS is an Equal Opportunity Employer.
Powered by JazzHR
2Bycorlt5g